| Ms Joyce Jacquetta Jackson, NP | |
|
3450 Old Washington Road, Suite 202, Waldorf, MD 20602-3248 | |
| (301) 645-3590 | |
| (301) 705-1941 |
| Full Name | Ms Joyce Jacquetta Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 42 Years |
| Location | 3450 Old Washington Road, Waldorf, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932377702 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Vein Restoration Md Llc | 8729022736 | 29 |
| Center For Vein Restoration Md Llc | 8729022736 | 29 |
| Entity Name | Center For Vein Restoration Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487772349 PECOS PAC ID: 8729022736 Enrollment ID: O20050610000383 |
| Entity Name | Belmont Surgery Center, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1528386497 PECOS PAC ID: 5294850087 Enrollment ID: O20100916001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Joyce Jacquetta Jackson, NP 3450 Old Washington Road, Suite 202, Waldorf, MD 20602-3248 Ph: (301) 645-3590 | Ms Joyce Jacquetta Jackson, NP 3450 Old Washington Road, Suite 202, Waldorf, MD 20602-3248 Ph: (301) 645-3590 |
Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900 | |
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893 | |
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457 | |
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994 | |
Ayanna Riley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11610 Lewisham Pl Apt 305, Waldorf, MD 20602 Phone: 201-667-8892 | |
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642 | |
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556 |